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MAIN STREET FAMILY CLINIC LLC
NPI 1275326191
Family Medicine in Canton, OK

Active since May 23, 2025
213 W MAIN ST, CANTON, OK 73724(405) 506-9101(405) 936-0561 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, May 23, 2025 (2 updates tracked since 2025).

About Main Street Family Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET FAMILY CLINIC LLC (NPI 1275326191) is a healthcare organization registered as a family medicine in Canton, Oklahoma and active in the NPI registry since May 2025. The organization lists Beth Holderby, Owner, as its authorized official.

NPPES Registry Identity

NPI1275326191
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN STREET FAMILY CLINIC LLC
Location Address213 W MAIN STCanton, OK 73724-1234
Mailing AddressPo Box 57390Oklahoma City, OK 73157-7390 · (405) 506-9101 · Fax (405) 936-0561
Phone(405) 506-9101
Fax(405) 936-0561
Organization SubpartNo
Authorized OfficialBeth HolderbyOwner · (580) 551-9131
Enumeration DateMay 23, 2025
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1275326191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
213 W MAIN ST, Canton, OK 73724
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Family Clinic LLC's NPI number?

The NPI number for Main Street Family Clinic LLC is 1275326191. It was assigned to this organization in the NPPES registry on May 23, 2025.

Where is Main Street Family Clinic LLC located?

Main Street Family Clinic LLC is located at 213 W Main St, Canton, OK 73724. The listed phone number is (405) 506-9101.

What is Main Street Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Main Street Family Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Main Street Family Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Main Street Family Clinic LLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.